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Floyd Medical Center

Floyd Medical Center aims to limit maternal deaths

Clinicians at Floyd Medical Center are using postpartum assessments to help limit one of the most preventable causes of maternal death.

According to the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), about 125,000 women a year bleed too much during birth, and up to 93 percent of maternal deaths caused by birth related bleeding – or maternal hemorrhage-related deaths – could have been prevented with improved clinical response.

To improve its clinical response, the 304-bed hospital based in Rome, GA, developed hemorrhage assessments within PowerChart Maternity™. The assessments help determine a mother’s postpartum hemorrhage (PPH) risk and suggest the appropriate course of action.

As of November 2014, records show that more than 95 percent of patients have a documented PPH admission risk assessment, and more than 90 percent have a post-birth risk assessment.

“Although PPH is not the leading cause of maternal death, it is the leading cause of preventable maternal death,” said Labor and Delivery RN Diana Johnson. “Assessing risk factors helps the staff to identify those at higher risk and take action.”

Together with the Cerner Women’s Health team, Floyd developed three assessments: upon admission, throughout labor and post-delivery. The team then placed the assessments within PowerChart Maternity to best support Floyd’s current workflow.

The development also included a two-step tracking process to automatically activate an interdisciplinary plan of care (IPOC) for medium and high-risk patients.

The process starts when the clinician finishes one of the assessments. First, the system calculates a patient’s risk category and determines the color icon on the maternity tracking interface – allowing clinicians to clearly see the risk level of the patient. Second, medium or high risk patients are automatically assigned an IPOC with actions tailored to the risk category.

The project also included practice and physical changes. For example, clinicians have moved to the practice of quantifying blood loss.

“In the past, blood loss was estimated, which has proven to be frequently underestimated, and the patient often did not receive blood replacement until the next day,” notes Diana Johnson.

Physically, the Labor and Delivery unit now has a dedicated cart readily equipped with necessary supplies to respond to PPH.

The project was spurred by AWHONN selecting Floyd and 50 other hospitals to participate in its postpartum hemorrhage project. Floyd was one of 22 other Georgia hospitals who participated in the project. Georgia ranks 50th in maternal mortality in the U.S. with 20.5 maternal deaths per 100,000 live births.

*Floyd went live with solution on Sep 9, 2014. All data within this article was from measurements taken Nov 31, 2014.

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Client outcomes were achieved in respective settings and are not representative of benefits realized by all clients due to many variables, including solution scope, client capabilities and business and implementation models.